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TELECONFRENCES
2004
The Changing Left Ventricle

2003
Aortic Valve Disease: New Dimensions in Evaluation and Management

2002
Heart Failure: Echo's Role in and Emerging Health Crisis

2001
Chest Pain in Children & Adults: The Role of Echo

2000
Mitral Regurgitation: New Concept

1998
The Falling Left Ventricle: Diastolic & Systolic Function

1997
Changing the Outcome of Coronary Artery Disease
ECHO GRAND ROUNDS
Digital Integration
LEARN THE BASICS
Echocardiography
Doppler Echo
VIDEO ARCHIVES

Chest Pain in Children and Adults

Mitral Regurgitation: New Concepts

Diastolic and Systolic Function

Changing the Outcome of CAD

BROADCAST SUPPLEMENTS
2000 MV
2001 Chest Pain
2002 Heart Failure


Quality of Two-Dimensional Images
Fig. 5

A single two-dimensional scan comprises a number of radial lines, each displaying echoes in B- mode format. For accurate images both the echoes shown on each B-mode line should accurately reflect the structures encountered by the ultrasound beam, and the two-dimensional image should contain the maximum possible number of lines. Because the ultrasound beam is not a fine, laser-like line, objects that lie off-axis are detected and generate artifactual multiple echoes (Fig. 5). This greatly impairs lateral resolution, the major limiting factor in B-mode image accuracy. Reduction of beam width by focusing techniques is therefore necessary to make the beam as narrow as possible. The number of B-mode lines available to form a two- dimensional image is determined by the velocity of ultrasound in the body (Fig. 6).
Fig. 6
For a 20 cm depth the maximum pulse rate is 3750 per second. Also, the structures being imaged must not move significantly during the period of the scan. A cardiac scan must therefore be completed in 1/60th of a second or less depending on power supply characteristics to 'freeze' valve motions, and a succession of such images made for each cardiac cycle (1 second) to show the motion patterns. If 60 images are made each second, only 75 lines gives 2.5 lines per degree, but if increased to 90 degrees, there is less than one line per degree. Sector scanning systems must therefore compromise between scans per second, scan angle, and line density.
Fig. 7
Fig. 7 summarizes two beams. With poor lateral resolution, multiple images are formed of A and some echoes from B are also detected. (2) Increasing line density without improving lateral resolution simply gives more multiple images. (3) If resolution is improved but line density remains low, a clear image is made of A but B disappears. There must be both high line density and good resolution for high-quality images of both objects.

 

 

 

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